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General NPI Number Information
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NPI Number | 1972664076
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Entity Type | Individual
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Provider Name | ENRIQUE A LEAL MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 208 N MCKINNEY ST # 2
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City | SWEENY
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State | TX
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Zip | 77480-3404
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Country | US
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Telephone | 979-647-1265
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Fax | 979-647-1270
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Provider Business Mailing Address
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Address Line | 208 N MCKINNEY ST # 2
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City | SWEENY
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State | TX
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Zip | 77480-3404
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Country | US
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Telephone | 979-647-1265
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Fax | 979-647-1270
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G8896
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License Number State | TX
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